Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 25MA07377900 | NJ |
NPI | 1245335652 |
---|---|
Provider Name | Mr. Zalman Levine |
First Address | Oradell, NJ 07649 |
Second Address | Oradell, NJ 07649 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 10/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G97629 | (02) |